Maternal Syphilis Screening Recommendations Stand Firm

Maternal Syphilis Screening Recommendations Stand Firm

The U.S. Preventive Services Task Force (USPSTF) in a recommendation statement published this week in JAMA reaffirmed its highest recommendation for early and universal syphilis screening in pregnancy, which aligns with its 2018 guidance. The recommendation emphasizes screening for all pregnant adolescents and adults at the first prenatal opportunity, regardless of individual risk factors, using both treponemal and non-treponemal tests. The directive is based on high-certainty evidence that syphilis screening during pregnancy provides a substantial …

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Urgent Care Management of Needlestick Injuries: Part 2

Urgent Care Management of Needlestick Injuries: Part 2

Urgent message: Response to a needlestick with potential for HIV exposure requires understanding of both state laws on HIV testing and the latest USPSTF guidelines for post-exposure management. MAYA HECK, MS-2 and JOHN SHUFELDT, MD, JD, MBA, FACEPTwo police officers arrive at your urgent care site with a handcuffed, bloodied prisoner. One officer tells you that the person in custody “spit on me” during the altercation. The officer goes on to tell you that the …

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